| Social and racial inequalities in preterm births in Western Australia, 1984 to 2006. | |
| | |
MedLine Citation:
|
PMID: 20618725 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Preterm birth is associated with a range of childhood morbidities and in industrialised societies is the primary cause of infant mortality. Social and racial inequalities in preterm birth have been reported in North America, UK, Europe and New Zealand. This study utilised population-level data to investigate social and racial inequalities in preterm birth among Aboriginal and non-Aboriginal infants in Western Australia. All live, singleton births between 1984 and 2006 (n = 567 468) were included, and multilevel multivariable logistic regression was used to investigate relative differences in preterm infants between socio-economic groups. Aboriginal and non-Aboriginal infants were analysed separately. The prevalence of preterm births increased from 7.1% in 1984-88 to 7.5% in 1999-2003, before decreasing to 7.2% in 2004-06. Inequalities in preterm births between Aboriginal and non-Aboriginal infants increased over time, with the percentage of preterm births being almost twofold higher for Aboriginal infants (14.8%), compared with non-Aboriginal infants (7.6%). A significant portion of the disparity between Aboriginal and non-Aboriginal infants is attributable to parental socio-economic and demographic characteristics, though the disparity continues to persist even after adjustment for these factors. While the overall rates of preterm birth in Western Australia have remained fairly static over the last two decades, the disparity between Aboriginal and non-Aboriginal infants has increased and is now similar to inequalities seen 20 years ago. These findings highlight a major public health issue that should be of great concern, given the short- and long-term morbidities and complications associated with preterm birth. |
| | |
Authors:
|
Amanda T Langridge; Natasha Nassar; Jianghong Li; Fiona J Stanley |
Related Documents
:
|
10021715 - Adverse effects of prenatal glucocorticoid treatment in the preterm infant. 18842145 - Multi-level modeling of social factors and preterm delivery in santiago de chile. 8302255 - Nutrient needs of the preterm infant. 6998695 - Supplemental stimulation of preterm neonates. 20882585 - Challenges to maternal wellbeing during pregnancy impact temperament, attention, and ne... 7775835 - Tumour oxygenation, radiosensitivity, and necrosis before and/or after nicotinamide, ca... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Paediatric and perinatal epidemiology Volume: 24 ISSN: 1365-3016 ISO Abbreviation: Paediatr Perinat Epidemiol Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-12 Completed Date: 2010-12-17 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8709766 Medline TA: Paediatr Perinat Epidemiol Country: England |
Other Details:
|
Languages: eng Pagination: 352-62 Citation Subset: IM |
Affiliation:
|
Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, West Perth, WA 6872, Australia. amandal@ichr.uwa.edu.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Female Humans Infant, Newborn Logistic Models Male Middle Aged Oceanic Ancestry Group / statistics & numerical data Population Surveillance Premature Birth / epidemiology*, ethnology* Prevalence Socioeconomic Factors* Western Australia / epidemiology Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effect of folic acid fortification on the incidence of neural tube defects.
Next Document: Undiagnosed coeliac disease in a father does not influence birthweight and preterm birth.